The Effect of End-range Maitland Mobilization on Glenohumeral Internal Rotation Deficit and Proprioception in Volleyball Players
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Internal rotation of the dominant glenohumeral joint
研究概览
简要总结
Glenohumeral internal rotation deficit (GIRD) is one of the main reasons for glenohumeral pain in athletes with over-head activity. As GIRD increases, the ratio between internal and external rotation changes resulting in decreased joint stability.
Joint mobilization is a possible option for the decrease of GIRD and contribution to improvement of proprioception in addition to physical therapy. The aim of this trial is to investigate the effect of end-range Maitland mobilization in addition to physical therapy on GIRD, other joint movements and proprioception.
详细描述
Glenohumeral internal rotation deficit (GIRD) is one of the main reasons for glenohumeral pain in athletes with over-head activity. As GIRD increases, the ratio between internal and external rotation changes resulting in decreased joint stability. The occurence of GIRD and decreased joint proprioception may lead to different shoulder pathologies (e.g. Impingement syndrome).
Joint mobilization is a possible option for the decrease of GIRD and contribution to improvement of proprioception in addition to physical therapy. Several joint mobilization techniques exists, which can be applied for stretching of periarticular tissues. Maitland mobilization is a well applied mobilization type. The effectiveness of both end-range and not end-range Maitland mobilization in lengthening of periarticular tissues and improvement of joint proprioception has been previously confirmed amongst several diseases. However, the effect of end-range Maitland mobilization on decrease of GIRD and proprioception in addition to physical therapy has not been investigated in volleyball players so far.
The aim of this trial is to investigate the effect of end-range Maitland mobilization in addition to physical therapy on GIRD, other joint movements and proprioception.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 18 Years 至 30 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •National Championship players in I. or II. level
- •at least, 10 degree deficit of glenohumeral internal rotation in the dominant shoulder compared to the non-dominant hand
排除标准
- •previous trauma or surgery on the dominant shoulder
- •participation in any kind of treatment during the intervention period
研究组 & 干预措施
End-range mobilization + proprioception training
End-range Maitland mobilization performed in end-range internal rotation of the shoulder accompanied with 8--week long proprioception training
干预措施: End-range Maitland mobilization + proprioception training (Procedure)
Non end-range mobilization+ proprioception training
Non end-range Maitland mobilization performed in loose position of the shoulder accompanied with 8--week long proprioception training
干预措施: Non end-range Maitland mobilization + proprioception training (Procedure)
Sham manual therapy technique + proprioception training
Placebo performed in loose position of the shoulder accompanied with 8--week long proprioception training
干预措施: Sham manual therapy technique + proprioception training (Procedure)
结局指标
主要结局
Internal rotation of the dominant glenohumeral joint
时间窗: after 8 weeks
Measurement of active internal rotation of the dominant glenohumeral joint with goniometer expressed in degree
次要结局
- Proprioception of the shoulder(after 8 weeks)
- Adduction of the dominant glenohumeral joint(after 8 weeks)
- Flexion of the dominant glenohumeral joint(after 8 weeks)
- Extension of the dominant glenohumeral joint(after 8 weeks)
- Abduction of the dominant glenohumeral joint(after 8 weeks)
- External rotation of the dominant glenohumeral joint(after 8 weeks)
- Posterior Shoulder Endurance Test(after 8 weeks)
- Western Ontario Shoulder Instability Index(after 8 weeks)
- Davies test(after 8 weeks)
- Sportspecific proprioception test(after 8 weeks)